| West Buffalo Creek | rises in SW Graham County and flows NE into Hooper Mill Creek. Also known as Little Buffalo Creek. |
| West Buies Creek | rises in N Harnett County and flows S and SE into Buies Creek. |
| West Canton | suburban area of the city of Canton in E Haywood County. |
| West Concord | unincorporated outskirts of city of Concord, central Cabarrus County. |
| West Cove | extends SW in E Haywood County between Wilson Cove and Long Branch. |
| West Crossroads | See Spiveys Corner. |
| West Double Creek | rises in S Surry County and flows SE to join East Double Creek in forming Double Creek. |
| West End | community in S Moore County. Named for the fact that it was the W terminus of a railroad from Aberdeen (about 1890-98) that later became a part of the Norfolk and Southern Railway. Alt. 604. |
| West Fork | rises in central Avery County and flows S into Linville River. |
| West Fork Campbell Creek | rises in W Haywood County and flows NE into Campbell Creek. |